ASSESSMENT OF THE EFFECTIVENESS OF DIGITAL IMPLANT PLANNING AND GUIDED SURGERY ON IMPLANT PLACEMENT ACCURACY AND PROSTHETIC OUTCOMES
Main Article Content
Keywords
Dental implants, digital planning, guided surgery, implant accuracy, prosthetic outcomes, patient satisfaction
Abstract
Background: Digital implant planning and guided surgery have been used to increase prosthetic results and implant placement accuracy over traditional freehand methods.
Objective: This study aimed to evaluate the effectiveness of digital implant planning and guided surgery in improving implant placement accuracy and prosthetic outcomes compared to conventional freehand techniques.
Methodology: A prospective observational study was conducted at the Smart Dental Care and Implant Centre, Islamabad, from July 2023 to June 2024, involving 54 patients divided into two groups: digital implant planning (n = 28) and freehand placement (n = 26). Following guided surgery using 3D-printed templates or dynamic navigation, preoperative digital planning was done using CBCT and CAD/CAM software. Radiographically, implant placement accuracy was tested; clinical criteria and self-reported scores evaluated prosthetic results and patient satisfaction. SPSS v26 was used for statistical analysis; significance was defined at p < 0.05.
Objective: This study aimed to evaluate the effectiveness of digital implant planning and guided surgery in improving implant placement accuracy and prosthetic outcomes compared to conventional freehand techniques.
Methodology: A prospective observational study was conducted at the Smart Dental Care and Implant Centre, Islamabad, from July 2023 to June 2024, involving 54 patients divided into two groups: digital implant planning (n = 28) and freehand placement (n = 26). Following guided surgery using 3D-printed templates or dynamic navigation, preoperative digital planning was done using CBCT and CAD/CAM software. Radiographically, implant placement accuracy was tested; clinical criteria and self-reported scores evaluated prosthetic results and patient satisfaction. SPSS v26 was used for statistical analysis; significance was defined at p < 0.05.
Results: The digital group showed significantly lower angular (2.31° ± 1.02 vs. 5.78° ± 1.94), coronal (0.76 mm ± 0.34 vs. 1.92 mm ± 0.61), apical (0.91 mm ± 0.37 vs. 2.14 mm ± 0.58), and depth deviations (0.42 mm ± 0.28 vs. 1.08 mm ± 0.43) compared to the freehand group (p < 0.001). Functional success (96.43% vs. 80.77%), aesthetic satisfaction (89.29% vs. 69.23%), and overall patient satisfaction (9.18 ± 0.74 vs. 7.89 ± 1.12) were also significantly better in the digital group.
Conclusion: Digital implant planning and guided surgery significantly enhance implant placement accuracy and patient-related outcomes compared to freehand techniques.
References
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11. Kivovics M, Takács A, Pénzes D, Németh O, Mijiritsky E. Accuracy of dental implant placement using augmented reality-based navigation, static computer assisted implant surgery, and the free-hand method: an in vitro study. Journal of dentistry. 2022 Apr 1;119:104070. https://doi.org/10.1016/j.jdent.2022.104070.
12. Smitkarn P, Subbalekha K, Mattheos N, Pimkhaokham A. The accuracy of single‐tooth implants placed using fully digital‐guided surgery and freehand implant surgery. Journal of clinical periodontology. 2019 Sep;46(9):949-57. https://doi.org/10.1111/jcpe.13160.
13. Afshari A, Shahmohammadi R, Mosaddad SA, Pesteei O, Hajmohammadi E, Rahbar M, Alam M, Abbasi K. Free‐hand versus surgical guide implant placement. Advances in Materials Science and Engineering. 2022;2022(1):6491134. https://doi.org/10.1155/2022/6491134.
14. Varga Jr E, Antal M, Major L, Kiscsatári R, Braunitzer G, Piffkó J. Guidance means accuracy: A randomized clinical trial on freehand versus guided dental implantation. Clinical oral implants research. 2020 May;31(5):417-30. https://doi.org/10.1111/clr.13578
15. Schubert O, Schweiger J, Stimmelmayr M, Nold E, Güth JF. Digital implant planning and guided implant surgery–workflow and reliability. British dental journal. 2019 Jan 25;226(2):101-8. https://doi.org/10.1038/sj.bdj.2019.44.
16. Colombo M, Mangano C, Mijiritsky E, Krebs M, Hauschild U, Fortin T. Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC oral health. 2017 Dec;17:1-9. https://doi.org/10.1186/s12903-017-0441-y.
17. Bishti S, Tuna T, Rittich A, Wolfart S. Patient‐reported outcome measures (PROMs) of implant‐supported reconstructions using digital workflows: A systematic review and meta‐analysis. Clinical Oral Implants Research. 2021 Oct;32:318-35. https://doi.org/10.1111/clr.13846.
2. Schnutenhaus S, Wagner M, Edelmann C, Luthardt RG, Rudolph H. Factors influencing the accuracy of freehand implant placement: a prospective clinical study. Dentistry journal. 2021 May 10;9(5):54. https://doi.org/10.3390/dj9050054.
3. D'haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer‐guided implant surgery. Periodontology 2000. 2017 Feb;73(1):121-33. https://doi.org/10.1111/prd.12175.
4. Ganz SD. Computer-aided design/computer-aided manufacturing applications using CT and cone beam CT scanning technology. Dental Clinics of North America. 2008 Oct 1;52(4):777-808. https://doi.org/10.1016/j.cden.2008.07.001.
5. Greenberg AM. Digital technologies for dental implant treatment planning and guided surgery. Oral and Maxillofacial Surgery Clinics. 2015 May 1;27(2):319-40. DOI: 10.1016/j.coms.2015.01.010.
6. Pellegrino G, Ferri A, Cercenelli L, Marcelli E, Marchetti C, Tarsitano A, Ciocca L. 3D planning of ear prosthesis and navigated flapless surgery for craniofacial implants: A pilot study. Journal of Stomatology, Oral and Maxillofacial Surgery. 2021 Sep 1;122(4):391-6. https://doi.org/10.1016/j.jormas.2020.09.007.
7. Ochandiano Caicoya S, García Mato D, Gonzalez Álvarez A, Moreta Martínez R, Tousidonis M, Navarro Cuéllar C, Navarro Cuéllar I, Salmerón Escobar JI, Pascau J. Computer-Assisted Dental Implant Placement Following Free Flap Reconstruction: Virtual Planning, CAD/CAM Templates, Dynamic Navigation and Augmented Reality. doi: 10.3389/fonc.2021.754943.
8. Siqueira R, Soki F, Chan HL. Current digital workflow for implant therapy: advantages and limitations. InDental Ultrasound in Periodontology and Implantology: Examination, Diagnosis and Treatment Outcome Evaluation 2020 Oct 30 (pp. 79-113). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-51288-0_4
9. SEGIN CHANDRAN KR, MITTAL N, GOYAL M. Revolutionising Precision and Efficiency of Dental Implant Placement through Digital Planning Software: A Narrative Review. Journal of Clinical & Diagnostic Research. 2023 Dec 1;17(12). Doi: 10.7860/JCDR/2023/67061.18799
10. Ngamprasertkit C, Aunmeungthong W, Khongkhunthian P. The implant position accuracy between using only surgical drill guide and surgical drill guide with implant guide in fully digital workflow: a randomized clinical trial. Oral and Maxillofacial Surgery. 2022 Jun;26(2):229-37. https://doi.org/10.1007/s10006-021-00975-7
11. Kivovics M, Takács A, Pénzes D, Németh O, Mijiritsky E. Accuracy of dental implant placement using augmented reality-based navigation, static computer assisted implant surgery, and the free-hand method: an in vitro study. Journal of dentistry. 2022 Apr 1;119:104070. https://doi.org/10.1016/j.jdent.2022.104070.
12. Smitkarn P, Subbalekha K, Mattheos N, Pimkhaokham A. The accuracy of single‐tooth implants placed using fully digital‐guided surgery and freehand implant surgery. Journal of clinical periodontology. 2019 Sep;46(9):949-57. https://doi.org/10.1111/jcpe.13160.
13. Afshari A, Shahmohammadi R, Mosaddad SA, Pesteei O, Hajmohammadi E, Rahbar M, Alam M, Abbasi K. Free‐hand versus surgical guide implant placement. Advances in Materials Science and Engineering. 2022;2022(1):6491134. https://doi.org/10.1155/2022/6491134.
14. Varga Jr E, Antal M, Major L, Kiscsatári R, Braunitzer G, Piffkó J. Guidance means accuracy: A randomized clinical trial on freehand versus guided dental implantation. Clinical oral implants research. 2020 May;31(5):417-30. https://doi.org/10.1111/clr.13578
15. Schubert O, Schweiger J, Stimmelmayr M, Nold E, Güth JF. Digital implant planning and guided implant surgery–workflow and reliability. British dental journal. 2019 Jan 25;226(2):101-8. https://doi.org/10.1038/sj.bdj.2019.44.
16. Colombo M, Mangano C, Mijiritsky E, Krebs M, Hauschild U, Fortin T. Clinical applications and effectiveness of guided implant surgery: a critical review based on randomized controlled trials. BMC oral health. 2017 Dec;17:1-9. https://doi.org/10.1186/s12903-017-0441-y.
17. Bishti S, Tuna T, Rittich A, Wolfart S. Patient‐reported outcome measures (PROMs) of implant‐supported reconstructions using digital workflows: A systematic review and meta‐analysis. Clinical Oral Implants Research. 2021 Oct;32:318-35. https://doi.org/10.1111/clr.13846.
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Published
Dec 29, 2024
Article Details
How to Cite
Muhammad Abdul Muqeet, Dr Ayesha Sadaf, Omer Masood Alam Shad, Umar Farooq, Aamir Rafiq, & Anza Azhar. (2024). ASSESSMENT OF THE EFFECTIVENESS OF DIGITAL IMPLANT PLANNING AND GUIDED SURGERY ON IMPLANT PLACEMENT ACCURACY AND PROSTHETIC OUTCOMES. Journal of Population Therapeutics and Clinical Pharmacology, 31(11), 2306-2311. https://doi.org/10.53555/kkz81t74
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Author Biographies
Muhammad Abdul Muqeet
BDS, FCPS prosthodontics, Assistant Professor Department of Prosthodontics, Dental college HITEC-IMS taxilla cantt
Dr Ayesha Sadaf
Associate Professor, Department of Prosthodontics, Shifa college of Dentistry, Islamabad
Omer Masood Alam Shad
Senior Registrar, Bakhtawar amin Medical and dental college, Multan
Umar Farooq
Senior registrar, Bakhtawar amin Medical and dental college, Multan
Aamir Rafiq
Associate Professor, Dental college HITEC-IMS Taxila
Anza Azhar
Senior Registrar, Islam Medical and Dental College, Sialkot
How to Cite
Muhammad Abdul Muqeet, Dr Ayesha Sadaf, Omer Masood Alam Shad, Umar Farooq, Aamir Rafiq, & Anza Azhar. (2024). ASSESSMENT OF THE EFFECTIVENESS OF DIGITAL IMPLANT PLANNING AND GUIDED SURGERY ON IMPLANT PLACEMENT ACCURACY AND PROSTHETIC OUTCOMES. Journal of Population Therapeutics and Clinical Pharmacology, 31(11), 2306-2311. https://doi.org/10.53555/kkz81t74